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<br />,( .\ t' <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-aOO8 FAX 813-719-7818 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />~f15Z <br /> <br />WATER ACCT. NO. <br /> <br />DATE I /7/05 <br /> <br />MAILING <br /> <br />u~~ <br />S~ C'~ <br /> <br />OWNER/ <br />RENTER <br /> <br />SERVICE ADDRESS 7lt S ( lJ ~~~ c4-, ~T11f <br /> 0 ~WATER <br />SHUT OFF SERVICE <br /> ~ 0 SEWER <br />TURN ON SERVICE <br /> ~ 0 GARBAGE <br />INSTALL METER <br /> 0 ~CITY <br />READ METER <br /> 0 0 OUT CITY <br />CHECK METER <br /> 0 --+- No. OF UNITS <br />OTHER <br /> _ DEPOSIT AMOUNT <br /> <br />'5 ~ " <br />Lf <br /> <br />. ( <br /> <br />_ AMOUNT LAST BILL <br /> <br />w~~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Dept. to sign yellow form & return to office. <br /> <br /> <br />-8 5 <br /> <br />ORDER GIVEN BY <br />